DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TICEY M CZUP RPH

MEDICARE: TICEY M CZUP RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03-1-22335OH

General Provider Information

NPI Number : 1518184001
Entity Type Code : Individual
Provider Name (Legal Business Name) : TICEY M CZUP RPH
Provider Business Mailing Address
First Line : 1324 PINE DR
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-2043
Country : US
Telephone Number : 440-964-9683
Fax Number :
Provider Business Practice Location Address
First Line : 245 MAIN ST
Second Line :
City : CONNEAUT
State : OH
Zip : 44030-2653
Country : US
Telephone Number : 440-593-2578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1265525810 — GERDES PHARMACY INC
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:
1518214014 — DR. ALEXIS RHODES PHARM. D., RPH.
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax: 440-593-6049
1770709313 — KERRY W GERDES RPH
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:
1316164957 — MR. DAVID GEORGE TURNER BSPH
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax: 440-593-6049
1093933301 — GERDES PHARMACY INC
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:
1760921464 — KIMBERLY HALL
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:

Directions to “ TICEY M CZUP RPH” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.